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PLUMBINGDate I t it D- (q / Jo ob Address Square Ft. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE .f vat( - -J # sat" o• , eg1WW-CPC@rtg0eIl 8 ident Public State of Florida M .Comm. Exp: 08/04/0 mm#: CC669180 (/fO c 7 Date APPROVED: Zoning Building Mechanical Plumbing foa flo4 Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant PIA- 64 e (, d r' e I £ Master Permit # C I 0 / 0 k 7 Owner's Address 611-1, � , � , )01. S �'' Phone � Q contractin Co. 1 '1- C15 _S e e71L q TraA Address 3 .4 - o"r Qualifier CTE r 4 04 codul SS# . Phone p ‘,5 - '4 _I R. r State # Municipal # Competency # Ins. Co. t . l b_,) i.J/ Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILD G ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION I a J r�(C� Ic- �j �(�' -' C (c/L / may / arse_ /off �4t /c Estimated Cost ( slue) la ce WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. /ft � D4z5 /'_ /' - oz3•o Signature of f Contractor or Owner - Builder Date ////o/ - Notary as to Owner and/or Condo President ate otary as to Contractor or Owner - Builder My Commission Expires: My CorOmiss i� Expires: 2 �P(iV P11 C OFFICIAL NOTARY $EAL (■ SANDRA M MONTIEL f sit 77 * COMMISSION NUMBER ti11 CC401261 OF � L _ a } 1Y COMMISSION 'EXP. ELM, 17 1908 FEES: PERMIT 3 RADON C.C.F. / • 2 NOTARY S r. BOND 3 O TOTAL DUE 3 zb Electrical Date Engineering STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT Permit Application Number ' ' ' j ' PART II - SITE PLAN _Scale: Each block represents 5 feet and 1 inch = 50 feet. id e. r t i r O ■ r r L , ) `� of l 1 Notes: / �> ' iG i - /u '�. kr ;1'� r1_ f �� �� -� wAa i' to r Site Plan submitted b Plan Approved By 0 ALL CHANGES MUST BE APPROVED BY THE COUNTY PUBLIC HEALTH UNIT HRS -H Form 4015, Feb 85 (Obsoletes previous editions which may not be used) (Stock Number. 5744-002-4015-6) SIGNATURE Not Approved 7 1 TIrr E� - Date l y County Public Unit Page 2 of 3 r' FLORIDA PERMIT # e i�' _..MENT OF HEALTH AND REHABILITATIVE SERVICES DATE PAID 7/ ' i NSITE SEWAGE DISPOSAL SYSTEM FEE PAID $ CONSTRUCTION PERMIT RECEIPT # /ejr 7 if Authority: Chapter 381, FS & Chapter 10D -6, FAC CO2[STRUCTION PERMIT FOR: �, ] New System [/� 'Existing System [1 �$ olding Tank 1 [ ] Temporary /Experimental I Repair I® ] Abandonment [ ] Other(Specify) AGENT: Al.__ ■S PROPERTY STREET ADDRESS /t A /00 _, LOT: / ) } BLOCK: SUBDIVISION: PROPERTY ID #:j1 32 (6012? / - [SECTION /TOWNSHIP /RANGE /PARCEL NUMBER] f [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 10D -6, FAC REPAIR PERMITS AND HOLDING TANK PERMITS EXPIRE 90 DAYS FROM THE DATE OF ISSUE. ALL OTHER PERMITS EXPIRE ONE YEAR FROM THE DATE OF ISSUE. HRS APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. SYSTEM DESIGN AND SPEQIFI\CATIONS T [ � +� [GALLONS / GSE.TIC TANK /AEROBIC UNIT CAPACITY MULTI- CHAMBERED /IN SERIES:[ ] A [ LONS / GPD] CAPACITY MULTI- CHAMBERED /IN SERIES:[ ] N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK: 1250 GALLONS] K [ ] GALLONS PER DOSE DOSING TANK CAPACITY DOSE RATE [ ] PER 24 HRS NO. OF PUMPS: [ ] D f2€-L) ( SQUARE FEETADRIMARY DRAINFIELD SYSTEM R [ A TYPE SYSTEM: I CONFIGURATION: SPECIFICATIONS BY: APPROVED BY: DATE ISSUED: 0 T H E R FEET [ ] STANDARD [ ] TRENCH N , F LOCATION OF BENCHMARK:// I ELEVATION OF PROPOSED SYSTEM SITE [ E BOTTOM OF DRAINFIELD TO BE [ 34-1 L D FILL REQUIRED: [ ] INCHES HRS -H Form 4016, Mar 92 (Obsoletes previous editions which may not be used) (Stock Number: 5744 - 001 - 4016 -0) SYSTEM [ ] FILLED [ ] MOUND [ ] [ ter) ,ice` ] [INCHES /FT] [ABOVE /BELOW] BENCHMARK /REFERENCE 4 [ABOV BELOW ENCHMA EFERENCE POIN EXCAVATION REQUIRED: ] INCHES TITLE: TITLE: INSTALLER /CONTRACTOR EXPIRATION DATE: Page 1 of 2 Permit No. 0l i v Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application L made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of. Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Archit and /or En E m oy lnin Plum t Nam .Q A / t p /3 / Lora on and Legal ption Lot_ I Street and Number where work L to be performed —No State work to be performed and purpose of building ( B y Amount of Permit $2C My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ate Gees • 6f,x, 6e-iv No 9 Streei NL ! O2 /-' v "7" Na. . � Itr F ,,. 2 — .. A B ' • / // Su si bdivon . // _�L.A� L! lA___ P Street. l _.. L O `� / • C(�� 4-- Floors) ___ER A _'___..Ei� Y ? e Fr _ _ `�• RA tv New Building.._..._ — _.._.........._.. Remodeling____ ___ Addition.. _.._ —..__ Repairs k ' No. of Stories Sire Septic Tank_... _Type of Tank _._ Feet of Drain Tile. Dist. Feet of Tank or Drain Field from Well..._.__. ---- •_ -• - -_ Nature of Water Supply: City —Wells Size of Soakage Pit. (SI The undersigned applicant for this • ng permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5989, Compiled General Laws of Florida Permanent Supplement, and hg' com- plied with the provisions thereof, and will require similar compliance from all contractors or sub -con • ors employed by him in the wort• robe performed under this permit; and will post or cause to be posted' for inspection on the site of th woo such public notice or notices as arr required by the Act. The undersigned agrees to employ only such sub -contr on wor -:. under this permit, as are licensed by Miami Shores Village. Notary Public+, State of Florida Plumbing Inspector. Master Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. ) Before me, the undersigned authority, • notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will bo roads when snit saiupootios in s>tsds•asosssary by Improper Sono/ for bsspection, or faulty materials and /or workmanship. CLOSETS BATH Tuff SHOWERS LAVA' TORI[f aINKf 8L0► $INKS N Y LAU Tuff DR URINALS C BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST -- CHer:R — SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT G TRAP SOLAR HATER Du, W[LL SPRKLR. SYSTEM SWIM POOL COHTR. LIST CHICK �— I Permit No. 0l i v Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application L made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of. Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Archit and /or En E m oy lnin Plum t Nam .Q A / t p /3 / Lora on and Legal ption Lot_ I Street and Number where work L to be performed —No State work to be performed and purpose of building ( B y Amount of Permit $2C My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ate Gees • 6f,x, 6e-iv No 9 Streei NL ! O2 /-' v "7" Na. . � Itr F ,,. 2 — .. A B ' • / // Su si bdivon . // _�L.A� L! lA___ P Street. l _.. L O `� / • C(�� 4-- Floors) ___ER A _'___..Ei� Y ? e Fr _ _ `�• RA tv New Building.._..._ — _.._.........._.. Remodeling____ ___ Addition.. _.._ —..__ Repairs k ' No. of Stories Sire Septic Tank_... _Type of Tank _._ Feet of Drain Tile. Dist. Feet of Tank or Drain Field from Well..._.__. ---- •_ -• - -_ Nature of Water Supply: City —Wells Size of Soakage Pit. (SI The undersigned applicant for this • ng permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5989, Compiled General Laws of Florida Permanent Supplement, and hg' com- plied with the provisions thereof, and will require similar compliance from all contractors or sub -con • ors employed by him in the wort• robe performed under this permit; and will post or cause to be posted' for inspection on the site of th woo such public notice or notices as arr required by the Act. The undersigned agrees to employ only such sub -contr on wor -:. under this permit, as are licensed by Miami Shores Village. Notary Public+, State of Florida Plumbing Inspector. Master Plumber. STATE OF FLORIDA, 1 COUNTY OF DADE. ) Before me, the undersigned authority, • notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will bo roads when snit saiupootios in s>tsds•asosssary by Improper Sono/ for bsspection, or faulty materials and /or workmanship. STATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION AND INSTALLATION PERMIT BJer9Qrt Per i Number Q ?` D6 33 94 1 i o z s+ r2�// 9� - ---- -PART 11 SYSTEM - INSTALLATION INSPECTION AND FINAL INSTALLATIONN APPROVAL Applicant Installer PIiAMI ploWEEQ Propertank legend: Yes Alo Tankswatertight: Yes , Tank size __! allons `— gallons gallons Proper tank outlet device: Yes I✓ / No Manhole or marker to grade: Yes 4/4 langtth Vildtb feet feet feet feet feet feet Total = ft Inspected by - Date Approved by Drainfield Trench Absorption Bed Ln9tth Width Length 21 feet x /aS feet = z , ‘ t 2 2po I feet feet Length feet x feet= ft feet feet Proper No. drainlines: Yes �No / I L feet feet Proper pipe separation: Yes i No 3c Total = ft Distribution box level: Yes / 1 i1�N Systems located as permitted: Yes 1/ No ,�/ Systems including plumbing stub -outs installed at proper elevation: Yes // 64 Average depth to drainpipe invert from finished grade: 2 4" inches Average depth of drainfield gravel: / Z.- inches Minimum depth of gravel inches Proper gravel size: Yes No Gravel is suitable quality: Yes No Backfill or fill material as required: (Quality) Yes _- No (Quantity) Yes No Other findings: Re /col. PAT Il l - Fl , J<A,'L 'Az Tank material -Y Tank level: Yes //%4 Tank Manufacturer A�r(ll� VON APPROVAL 3c Maximum depth Inches Date o AN APPROVED INSTALLATION DOES NOT GUARANTEE PERFORMANCE Note: Completed copies of this form will be provided to the applicant, installer and the building HRS—H Form 4018, Feb 85 (Obsoletes previous editions which may not be used) (Stock Number. 5744 -002- 4018 -0) Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address a __.'_______ -TT -- Registered. Architect-and—for—Engineer—__4_°_,A .. . ! i Employing Plumber's Name • 4_42 L L4._._. __._._.._ No.___.________._._._____ Street _A - /7..a.. Location and Legal Description Lot._-_---- ........ _.___._. ...... _____________ Block__ ..... _______ ... Subdivision Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well. Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING ni..MIT Street and Number where work is to be performed —No - - 27.,e- -Z— State work to be performed and purpose of building (By Floors) __._°�____ New Building _- _-- -- - -- - -- - - - -_ -- Remodeling No j 2 /© .____./___� !z'.v _� Street .l_ Street_ l.__ a _ _ Addition..___.__ Repairs No. of Stories. - _ Type of Tank.____ Capacity Gals.__ __Dist. Feet of Tank or Drain Field from Well ._Size of Soakage Pit (Signed)- -- ° Plumbing Inspector. _ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent /Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by die Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under s pen it, as are hoensed by Miami Shores Village. p A �� _/ p L•� • (signed)-- �'°.=----- - - - - -- Master Plumber. r 6 � Date My Commission Expires Notary Public, State of Florida STATE OF FLORIDA, COUNTY OF DADE. j i3efore me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re-inspection is made 'necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY Tua UR CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. L IST _ ` .. _ .. .i - CHECK Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address a __.'_______ -TT -- Registered. Architect-and—for—Engineer—__4_°_,A .. . ! i Employing Plumber's Name • 4_42 L L4._._. __._._.._ No.___.________._._._____ Street _A - /7..a.. Location and Legal Description Lot._-_---- ........ _.___._. ...... _____________ Block__ ..... _______ ... Subdivision Size Septic Tank Feet of Drain Tile Nature of Water Supply: City —Well. Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING ni..MIT Street and Number where work is to be performed —No - - 27.,e- -Z— State work to be performed and purpose of building (By Floors) __._°�____ New Building _- _-- -- - -- - -- - - - -_ -- Remodeling No j 2 /© .____./___� !z'.v _� Street .l_ Street_ l.__ a _ _ Addition..___.__ Repairs No. of Stories. - _ Type of Tank.____ Capacity Gals.__ __Dist. Feet of Tank or Drain Field from Well ._Size of Soakage Pit (Signed)- -- ° Plumbing Inspector. _ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent /Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by die Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under s pen it, as are hoensed by Miami Shores Village. p A �� _/ p L•� • (signed)-- �'°.=----- - - - - -- Master Plumber. r 6 � Date My Commission Expires Notary Public, State of Florida STATE OF FLORIDA, COUNTY OF DADE. j i3efore me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re-inspection is made 'necessary by improper notice for inspection, or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING HJ, , ❑ PERMIT N° 7374 Owner of Building Architect Contractor or Builder Legal Lot Description Address of , ; Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA DATE ' + 195 Contractor's License No. Work to be performed under this Permit B1 Subdi- vision Value of Project $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowled of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and at he assumes responsibility for work done by his agents, servants or employees. Signed. INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. .._ .B Amount of Permit $ BY AUTHORITY BUILDING ELECTRICAL PLUMBING fa" ROOFING Owner of Building Architect Contractor or Builder Legal Description. Address of Building Lot MIAMI SHORES VILLAGE, FLORIDA ❑ PERMIT N° 14497 ❑ Work to be performed under this Permit Subdi- vision Value of Project $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that . he assumes responsibility for work done by his agents, servants or employees. Signed • BY / k INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertainil� thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In a ng this permit, I asaum .responsibility for all work done by either, myself, my getlt seprant or ennployee. ■ f CONTRACTOR OR d BUILDER BY AUTHORITY DATE // Contractor's License No Amt, of Permit $ 195 BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder ' Legal Description Lot MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 5158 ork to be performed under this Permit Gt , - CC --t 6(004-0G420.4"-d Bl. Subdi- vision Address of Building This pe it is granted to the contractor or builder na e. above to construct the building or to install the equipment or "device described in the appli- cation herefor strict compliance with all ordinances pertaining thereto and with the understanding that the work wil be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above as es the resp 'ty for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or .1 in , in st ents or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. /� J�1'J Signed: �•�'�I/:2" /`� / By E OR Value of Project DATE Contractor's License No Amt. of Permit / v 194 In consideration of the issuance to me of this permit I agree to perform the work co red hereunder in compliance with all ordinances and regula .ns pertaining thereto and in strict conformity with the plans, drawings, statements or specifi ations submitted to the proper authoritta of Miami Shote;5i ge. In accepting this permit I assume t esponsibility for all work -One by either myself, my agent, agent, servant or employee. . -z ' . t _ .e .r y .. '► _,z, • e C 9 u-C/ CONTRACTOR OR BUILD R Off'/` e., c„ A Y BY AUTHORITY Fermat Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or . other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of wor Owner Name and Address Registered Architect and , Engineer Employing Plumber's MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No.___ Str e et /6 7,/, a Location and Legal Description Lot__—_____._ ._ ..____ B Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building_- -_ - - -. Remodeling_ Size Septic Tank Feet of Drain Tile____ Nature of Water Supply: City —Well. Amount of Permit $ STATE OF FLORIDA, } 58. COUNTY OF DADE. Addition__ (Signed) No._ f r Date My Commission Expires Notary Public, State of Florida Subdivision. — Street 97 r • / 6 `'• ••1 Repairs No. of Stories. Type of Tank s1 t. Feet of Tank or Drain Field from Well _— .Size of Soakage Pit Capacity Gals g Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ° %7 d ' (Signed) - -- � -- -- Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ _.. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made •necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA. TORIES SIN KS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST -- ___._, _ CHECK -- SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL F • C ON LIST CHECK - - - --- Fermat Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or . other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of wor Owner Name and Address Registered Architect and , Engineer Employing Plumber's MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No.___ Str e et /6 7,/, a Location and Legal Description Lot__—_____._ ._ ..____ B Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building_- -_ - - -. Remodeling_ Size Septic Tank Feet of Drain Tile____ Nature of Water Supply: City —Well. Amount of Permit $ STATE OF FLORIDA, } 58. COUNTY OF DADE. Addition__ (Signed) No._ f r Date My Commission Expires Notary Public, State of Florida Subdivision. — Street 97 r • / 6 `'• ••1 Repairs No. of Stories. Type of Tank s1 t. Feet of Tank or Drain Field from Well _— .Size of Soakage Pit Capacity Gals g Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ° %7 d ' (Signed) - -- � -- -- Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ _.. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made •necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No _- _-- ----- _._.___ -- MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submdted for the building or other structure herein described. This application is made incompliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address 149/ - No Street Registered Architect and /or Engineer Plumber's Name � i� /t!. ! No. Street_ Street and Number where work is to be perforrned—No Block , :714 -- Subdivision, Street Subdivis _ ei Location and Legal Description Lot • State work to be performed and purpose of building (By Floors) New Building __ Remodeling_ ___YSR -, Addition_______ / Repair / No. of Stories Size Septic Tank_______________ _� Type of Tank Capacity Gals Feet of Drain Tile______ __ Nature of Water Supply: City —Well — Size of Soakage Pit { l Amount of Permit $__ a;e4, ( Signed ) - - -- '� -- -- - - Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation,Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hint in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Master Plumber. STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or flty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST --- CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST • CHECK Permit No _- _-- ----- _._.___ -- MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submdted for the building or other structure herein described. This application is made incompliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address 149/ - No Street Registered Architect and /or Engineer Plumber's Name � i� /t!. ! No. Street_ Street and Number where work is to be perforrned—No Block , :714 -- Subdivision, Street Subdivis _ ei Location and Legal Description Lot • State work to be performed and purpose of building (By Floors) New Building __ Remodeling_ ___YSR -, Addition_______ / Repair / No. of Stories Size Septic Tank_______________ _� Type of Tank Capacity Gals Feet of Drain Tile______ __ Nature of Water Supply: City —Well — Size of Soakage Pit { l Amount of Permit $__ a;e4, ( Signed ) - - -- '� -- -- - - Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation,Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hint in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Master Plumber. STATE OF FLORIDA, ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or flty materials and /or workmanship. ,- 7 NO. STREET PART OF LOT LOT BLOCK SUBDIVISION FOR ROOF .4 .-:,? / fie ... . FRONT DEPTH HEIGHT STORIES TYPE OF CON UCTI BUILDING TO BE US D FOR ROOF COST OF BUILDING PERMIT FEE Fra.Tile rcrele, S ucco eaidt±nee Stores, el �I ` ar "' OP � ',.`' ■ pta:; BUILDING PERMIT Owner of Building Architect Contractor or Builder This permit is issued to , 19 MIAMI SHORES VILLAGE OFFICE OF BUILDING INSPECTOR Miami Shores llage, Florida, % /� " (i. , 19 > k)e tit tir PROPOSED LOCATION DESCRIPTION OF BUILDING • N° 565 �/`., � ,e.'� To .4.—J the the building above described, as per pplica ' n, Plans and Speci ` tions heretofore filed in this office. This permit is granted upon the express condition that all facts stated in the application are true and that the cons uction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and regulations of the building department of Miami Shores Village. This permit may be revoked at any time the violation of any provisions of said laws, ordinances or rules and regulations, or upon any change in the plans and specifications unautharize , y hg building inspector. t NG INSPECTOR 'n consideration of the issuance to me of this building permit I hereby agree to do the proposed construction in strict conformity with the application tans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building department of Miami Shores Village. AL) OWNER , LOT BLOCK SUBDIVISION ire 1;1 t /1 MC0 5 4 /1 • dd�iami cJhores9llage F L O R D A PLUMBING PERMIT N9 1200 Se 4j21,11 Issued t to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For a_story building at fig Ai. £* �© A • Fixtures j 6101f), / 7 4' li4147 j4 0 • �..l�It�ssdw Fixtures $ 40 Sewer $ b e ° •ic Tank $ _ Total $ '�:>+� ♦ 4 Village Plumbing Inspector a . V• )1,44 4. Received Payment by of a Septic Tank Installed by: For a (Store: Building has: LOT NO. Address of work: • No. of Plumbing Fixtures: Nature of water supply: City: Additional information: Ready for Inspection: Date: /' ABFROVED Remarks: PERMIT NO. DADE COUNTY ZONING ICE Form #11 DIVISION OF PLUMBING INSPECTION Soakage Pit: BLOCK NO. SUBDIVISION • CONDEMNED BY: Date: I herewith submit the following application for a permit covering the installation Rela :. New: Feet of drain tile: Address: (NEW: 1 , Old: Story: / Addition: Remodeled: Garage: Apt.: Hotel: Office Bldg: Res: (Garage wash floor: Waste water from a: Stores; Offices; Apts.; Hotel Rms; Bedrms Owner or Agent: Address: Laundry Tubs: Floor Drains: Well: Feet distant from all wells: Type of tank installed: Tank capacity in 1allons: Size of Soakage Pit: Purpose of same: Time: